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� _ ._ � _ _ <br /> ELECTRICAL PERMIT APPLICATION ' <br /> � CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERET7. VJA 99201 <br /> � 425-257•8810 - FAX 425-257-8857 -rnvw everettwa oig i <br /> i <br /> � /��,�/ Ca si/�U R�;l � <br /> PROJECTADDRESS <br /> ,�G�/: l2 0 �I �-r����_� . �'�e �n r��- � <br /> Owner .. . --- �41a� ntla:ess `�--- ----- C ly 5!ate Z�o --�---- Pno �• - <br /> � <br /> . ._ _ _ _ _—___ _._. . . .. . __. ____.—. ___ - . _._ _ _ . <br /> �en:�nt LtaiA�aiess Gty 5!at=�10 �^cre I <br /> �7f.'lP�fn'ra l Gr�umS ..�,��+� 1 S•Cf_tl�_a✓� S!' �lQc/✓� ._ . �� _��V�.41�6 � <br /> I-IeC�icalConliac!ur 69adAd�rr.ss Cdy Slate:Z�p PPore <br /> ' 77EG��Sq3ot�o � 2 vo � <br /> Sta�e 1 �cense Nwnber ConVact Pnce oI VJor" � <br /> , C' �L� l-, o v Sp — --- --- - --- <br /> �'wposed Use ol fiwWu��y Contact Person (Plan f7eview� <br /> /P5S `��-� � S O � <br /> � Squarc Footage Of res�dCntial new consUu[Iwn. �:model or addd�on) � <br /> ' Ivumbei o�drv�ces (ll Ir�w vuitdq�•1 � <br /> ('esr.�ipLon u".�orY. �o fle Done Q G(�GC�c%(, �,�7✓lQ S�tl-iU �� �/ ' Lf � �/�/G �1% C '� <br /> --- _ -- - Y ----- — _. i -- <br /> , m�-�* �1��. a„�(_Q-�°..__/���_ �b/f �-�_l�._ ir�_--� '� �o� � ��.�,,__ � <br /> ' (k.� (l _ �r���Gt_v__ QCJv��f �_? ���'l`'i ��� C; /�'(l rs f_pu�l _ S�c .'�..�.•� � <br /> i <br /> i � FFF I <br /> , CITY OF EVERfTT I.00AL SALES TAX CODE IS 7105 ! �Q �� I ' <br /> � I hricl�y rr4�l � fha(I hd�r rrdJ dnJ r�arn, ��. r„ , � I�ur ,�nJ ' �� � � <br /> y r J Ihis nppin�,�Gun dnd tin�nv th�� y,vrrr. f� L _._ <br /> c��nr�c! i111 proois,ons ul Lm;nnd orJ�n<mcc; Vu�crrriny fl��s f�pc ol�vo�H �ti��ll Ac rwnplelcJ .-. . ------ � — � <br /> ' �t hcfhc� 5peciGed herein or nof Thc)ranGny o!n perm�f tlors nol prosume to grvc au(honty f�� � p�'Rf•1(Tu � I <br /> � wolafe ur cancel the provrsions ol any ufher stofe r,r local l�ir ro9ulal�ng consfn�cf�on nr fh�� <br /> p�rlorm.�nce a/cansfn�of�w 1 h.�f I dnr�wthonved hy(he onner n/fhis prnpe�ty lo�,r�rfr�nn fhe �� �3� � — � �� �, <br /> i �•.u�k lor�slrich uppGc��f�on is rnodr�and I comply wdh Ihc S(olc Conharfor�. I:+r; �A:% ','ClN dnd . _ _ _f <br /> :96 200 WAC , <br /> ����t� V�' �-'�v�C:Q_`_ VCiI'�P_ /'1, � 0/� _ � <br /> —� .____—_ . __.—�____ '_ _. _.__-__' i <br /> S�g�atu�e Date <br /> I _.�_�_ �_ � . ._ . ... . _ __ _ _ _ . ___ ._. . _ I . <br />